RESULTS OF A RANDOMIZED CLINICAL-TRIAL COMPARING 2 RADIATION SCHEDULES IN THE PALLIATIVE TREATMENT OF BRAIN METASTASES

被引:85
作者
HAIEMEDER, C
PELLAECOSSET, B
LAPLANCHE, A
LAGRANGE, JL
TUCHAIS, C
NOGUES, C
ARRIAGADA, R
机构
[1] INST GUSTAVE ROUSSY,DEPT RADIOTHERAPY,F-94805 VILLEJUIF,FRANCE
[2] INST GUSTAVE ROUSSY,DEPT STAT,F-94805 VILLEJUIF,FRANCE
[3] CTR ANTOINE LACASSAGNE,DEPT RADIOTHERAPY,F-06054 NICE,FRANCE
[4] CTR PAUL PAPIN,DEPT RADIOTHERAPY,ANGERS,FRANCE
关键词
BRAIN METASTASIS; RADIOTHERAPY; RANDOMIZED TRIAL;
D O I
10.1016/0167-8140(93)90091-L
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In 216 patients with brain metastases two schedules of brain irradiation were compared in a randomized trial: one course of 18 Gy/3 fractions/3 days versus the same fractionation followed by a second course of radiotherapy with a one-month time interval. The second course was identical to the first one or delivered 25 Gy/10 fractions/14 days. No difference in overall survival, nor in the neurologic response or in the incidence of complications was demonstrated. Two clinical factors appeared to be prognostic of the overall survival: the presence of multiple brain metastases and the presence of extracerebral metastases.
引用
收藏
页码:111 / 116
页数:6
相关论文
共 22 条
  • [1] PALLIATION OF BRAIN METASTASES - FINAL RESULTS OF THE 1ST 2 STUDIES BY THE RADIATION-THERAPY-ONCOLOGY-GROUP
    BORGELT, B
    GELBER, R
    KRAMER, S
    BRADY, LW
    CHANG, CH
    DAVIS, LW
    PEREZ, CA
    HENDRICKSON, FR
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1980, 6 (01): : 1 - 9
  • [2] COMNOUGUE C, 1993, IN PRESS STAT MED
  • [3] COX DR, 1972, J R STAT SOC B, V34, P187
  • [4] RADIATION-INDUCED DEMENTIA IN PATIENTS CURED OF BRAIN METASTASES
    DEANGELIS, LM
    DELATTRE, JY
    POSNER, JB
    [J]. NEUROLOGY, 1989, 39 (06) : 789 - 796
  • [5] THE ROLE OF POSTOPERATIVE RADIOTHERAPY AFTER RESECTION OF SINGLE BRAIN METASTASES
    DEANGELIS, LM
    MANDELL, LR
    THALER, HT
    KIMMEL, DW
    GALICICH, JH
    FUKS, Z
    POSNER, JB
    [J]. NEUROSURGERY, 1989, 24 (06) : 798 - 805
  • [6] GELBER RD, 1981, CANCER, V48, P1749, DOI 10.1002/1097-0142(19811015)48:8<1749::AID-CNCR2820480810>3.0.CO
  • [7] 2-X
  • [8] RADIATION-THERAPY OF CEREBRAL METASTASES - RANDOMIZED PROSPECTIVE CLINICAL-TRIAL
    HARWOOD, AR
    SIMPSON, WJ
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1977, 2 (11-1): : 1091 - 1094
  • [9] BRAIN METASTASES - RESULTS AND EFFECTS OF RE-IRRADIATION
    HAZUKA, MB
    KINZIE, JJ
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1988, 15 (02): : 433 - 437
  • [10] NONPARAMETRIC-ESTIMATION FROM INCOMPLETE OBSERVATIONS
    KAPLAN, EL
    MEIER, P
    [J]. JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1958, 53 (282) : 457 - 481